NPIMap

Organization Active NPI

County of Los Angeles

Doing business as East San Gabriel Valley Health Center

  • Clinic/Center
  • Covina, CA
National Provider Identifier
1235663758
Registry record updated Jun 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
COUNTY OF LOS ANGELES
Doing business as
East San Gabriel Valley Health Center
Practice address
1359 N Grand Ave
Covina, CA 91724-1016
Phone
(626) 430-2900
Fax
(626) 331-0035
NPI assigned
Apr 12, 2017
Last updated
Jun 18, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
COUNTY OF LOS ANGELESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 18, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Quentin O'Brien
Title
Ambulatory Network, Ceo
Phone
(213) 288-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X CA Primary

Addresses

Primary practice location

1359 N Grand Ave
Covina, CA 91724-1016

Mailing address

1359 N Grand Ave
Covina, CA 91724-1016
Phone (626) 430-2900

Other names 1

  • East San Gabriel Valley Health Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hudson Health Center613 organizations share this tax ID, including this one
Part of
Hudson Health Center

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623974400000",
    "number": "1235663758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1359 N GRAND AVE",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917241016",
            "telephone_number": "626-430-2900",
            "fax_number": "626-331-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1359 N GRAND AVE",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917241016",
            "telephone_number": "626-430-2900",
            "fax_number": "626-331-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF LOS ANGELES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF LOS ANGELES",
        "enumeration_date": "2017-04-12",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "QUENTIN",
        "authorized_official_title_or_position": "AMBULATORY NETWORK, CEO",
        "authorized_official_telephone_number": "213-288-9000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East San Gabriel Valley Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.